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Table 1 Theoretical approaches for working in the intercultural space

From: Examining the potential contribution of social theory to developing and supporting Australian Indigenous-mainstream health service partnerships

1. Power relations

• In any social exchange, power sets the limits and affords the possibilities for action [63].

• Power manifests in communication and language

• The struggle for power in the intercultural domain is not static: it is always shifting, generally asymmetrical and may be obvious or subtle [63].

• Power is strongly emphasised as an instrumental point of analysis in the intercultural exchange [61].

• Power is often driven by the movement of resources, particularly funds.

• Although asymmetrical power in the intercultural domain can be a centrifugal force, it can co-exist with the potential for centripetal action founded on commonalities of the human condition [67].

• Unequal power distribution is an ongoing legacy of colonialism that still deeply influences Indigenous-non Indigenous relations. Accordingly, indigeneity continues to be "defined and self-defining in terms given by the more powerful, colonising and, in many different ways, often racist white population" [61].

• The politics of cultural identities in governance processes is best understood through an intercultural lens, in terms of power and political identity [86].

• Indigenous governance must be understood as having a crucial role as a counter to mainstream governance.

Individual (agency)

Organisation (structure)

• Indigenous actors may be hyper-alert and suspicious of (colonial) mainstream control, which can become evident when they participate in a partnership [42].

• Power relations differ depending on the type of partnership.

• Inter-organisational and interpersonal trust is at the heart of power negotiations in an intercultural partnership. Trust is a key basis for partnership performance [64].

• It is important to distinguish between trust in individuals and trust in institutional values and mores [76].

• Power is a crucial issue confronting Indigenous groups due to the intercultural space in which Indigenous organisations are inherently operating [82].

• It is important to consider the most effective strategies for building trust in institutions, and which are supported by government [92].

2. Reflexivity

• Reflexivity involves exploration of self-positioning, to understand the lenses that influence our understanding of one another.

• Operating in the intercultural space is affected by history, social influences, family experiences and personality, and thus the reflexive encounter with one´s self can reveal qualities projected on to the `other´ [71].

• Kowal and Paradies argue that many `whites´ working among Indigenous people tend to be liberal-thinking, left-leaning and `anti-racist´ [26]. The complexities of this `political correctness´ can overemphasise structure and downplay agency, creating ambivalence and humility in practitioners about their `helper´ identities, and ultimately result in inaction [26].

• Reflexivity for many Indigenous Australians has recently involved examining the deficit mindset within Indigenous communities that produces a lateral violence that, among many things, targets Indigenous identity, affecting developments in health, society and economy.

• Australia´s history of injustice means that collective defences are complex, and that discussions of guilt are difficult to separate from interactions [73].

• Lateral violence may not necessarily express itself as an overt racism but rather an underlying prejudice that constrains relationships—whether between `white´ and `Indigenous´ governance structures, or service providers and clients, or just between individuals [78].

Individual (agency)

Organisation (structure)

• To better understand the other, the focus must ultimately be first on understanding, and `problematising´ ourselves [72]. In this sense, social change and personal transformation are closely connected.

• For organisations in formal partnerships, reflexivity may involve understanding how group identity has been constructed in response to an externally located cause [67]

• The emotional response of individuals to guilt needs to be explored further. Naming and understanding the reasons for guilt can result in and create a transformational opportunity for change by enabling individuals to begin working through it [73].

• Kowal and Paradies argue for a `reflexive anti-racism´, where awareness of power differentials doesn´t lead to inactivity [26].

3. Dialogical theory

• Dialogical theory suggests that each interaction builds on the one before, thereby shaping and reshaping the intercultural encounter [79],[80]

• Interactions constitute continual response to and expansion on previous interactions, that is, interactions form a dialogue

• Dialogical theory suggests understanding and engaging with difference [81].

• Intercultural exchanges are (or may be) socially orientated rather than structural, and as such, multiple dialogues with multiple voices can happen simultaneously. It is important to understand the impact of social influences on individual and organisational exchanges [82].

Individual (agency)

Organisation (structure)

• The self is understood as `culture-inclusive´ and culture as `selfinclusive´, with a dynamic relationship occurring that does not see self (the individual) as separate from culture: rather they are a composite of parts [81].

• While intercultural partnerships may have formalised endeavours, they are shaped by the interactive nature of relationships [79],[80].

• When individuals within organisations explore a partnership through a dialogical approach, there must be commitment to genuine and ongoing questioning of positioning: "What position do I hold individually, and what do I represent at an organisational level?"; "How do these positions change when our partnership engages?"; "How does it influence the partnership in action?" [63],[71].

• Using dialogics offers organisations the possiblity of exploring potential points of resistance (the `points of difference´) [71].

4. Borders

• Constructing boundaries is an innate human process, helping us to organise our world [71].

• Border work must simultaneously explore the necessary construction of certain boundaries, as well as their permeability, without those boundaries being stereotyped as cultural `attributes´. That is, border work means constructing fluid boundaries across cultures, rather than solid borders that divide us [53],[85].

• Distinctions and differences are essential to the human condition; "it is how we deal with these differences that make[s] boundaries menacing and oppressive or liberating and empowering" [71].

• Intercultural relations are shaped as much by what the margins define as by the liminal points of translation and transformation.

• Understanding borders is an instrumental process for work in the collaborative intercultural zone, and `mapping´ these frontiers is an important part of understanding what is going on [53].

Individual (agency)

Organisation (structure)

• It is through engagement with `difference´, and the construction of boundaries, that individuals in the intercultural domain have the opportunity to reflect on their own preconceptions [83].

• Border theories may offer partnerships a platform for unpacking how, and why, individuals and organisations construct and maintain certain inter-relational boundaries, evident particularly in negotiating shared partnership activities [53].

• Through reflection, prejudices can potentially be productive in creating understanding [83].

• Partners attempting to ideologically deconstruct their boundaries may not only be unrealistic but may overlook the usefulness and necessity of group and individual identity construction [53].

• Consideration of these theories prompts partners to collaboratively explore what boundaries need to be maintained and why, where there may be potential for `crossing´, and which aspects within the partnership could potentially facilitate or hinder a crossing or successful intercultural exchange.

5. Strangeness

• Refers to both the `experience of strangeness´, and the `position of stranger´ (an individual or group different to the majority) [71].

• The ambivalent position of the stranger can cause confusion and anxiety in the majority world, as they make the porous nature of social boundaries explicit [71].

• Understanding is built within the intermediate space between familiarity and strangeness [83].

• Recognising that there are alternative (strange) knowledges is also a critical pedagogical decolonising process [84].

• The stranger can question the `taken for granted´ world of the host and this uncertainty creates an opportunity for a critical understanding of the host´s world. In this sense, Indigenous actors partnering with mainstream bodies, by their position as minority and strangers in a white-dominated society, offer potential to critically examine partnerships.

Individual (agency)

Organisation (structure)

• Individuals experience degrees of `strangeness´ when physically close to—but socially and culturally distant from—someone [71].

• Dominant systems and paradigms should be interrogated [84].

• The experience of differences as `strangeness´ may be emotionally charged, and this often underlies intercultural conflict [83].

• Recognising `strangeness´ is also important in the social and political environment, as the experience of `strangeness´ impacts on policy decisions.

6. The Intercultural Space

• Recognises the significance of the relational and situational context of communication [76],[101]

• Recognises that apprehension and ethnocentrism can negatively affect the ability to communicate effectively and to reduce uncertainty [102]

• Examines the inter-relationships between uncertainty, anxiety, mindfulness, and communication effectiveness [103]

• Describes the complexity of key positions of activity in the intercultural field (from the `silent majority´ and `spectators´ through to leaders and external stakeholder—each with their own `domain´ of cultural activity), not only interculturally but cross-sectorally and interprofessionally [104].

• Individual psychological and emotional responses to relations in an intercultural exchange can be a centrifugal force or can serve productively to establish necessary boundaries.

Individual (agency)

Organisation (structure)

• Individuals are encouraged to shift focus from reducing negative emotional responses (such as anxiety) to managing them, according to individual capacity [103].

• Organisations can support individuals to identify skills, behaviours, competencies and attributes that can assist them in their intercultural interactions.

• Capacity is defined by cross-cultural and intercultural competencies including:

• Organisations should encourage reflection on organisational culture as the context for communication.

- the ability to interpret and relate;

Building intercultural relationship skills among key stakeholders is critical to working more effectively (as highlighted by a case study of a successful intercultural partnership in Queensland [104]).

- the ability to have a positive and curious approach to differences and unfamiliarity;

- the ability to be sensitive to human diversity and to have insights about how culture influences communication and language;

- open to `otherness´;

- a fluid and hybrid identity and anti-essentialist notions that strongly incorporate the concepts of mindfulness [63],[71],[105]